Trusted advisors providing optimized investigation, fraud prevention, and SIU solutions
Turnkey solutions focused on your needs and aligned to your program
While about 80% of claims are legitimate and 20% are not, we advocate for not only putting resources on the 20%. Our claim advocacy approach strives to secure facts, keep litigation rates low, provide a streamlined process to make it easy for adjusters to refer and collaborate, and deliver evidence that is meaningful to your claims.
Actionable strategy recommendations to leverage evidence for enhanced claim management and overpayment avoidance
Impactful Investigations
Inspired Services
Our strategists collaborate with your team to implement our inspired investigative services including technology driven MedELink, our superior evidence delivery system, to timely leverage evidence and expedite your optimal claim resolutions.
Innovative Solutions
Our clients appreciate the original and high-tech solutions that we bring to the partnership, especially our focus on early intervention and proactive options such as iConfirm, resulting in successes that are supported by data.
Our SIU partnerships emphasize fraud prevented, mitigated and prosecuted
Fraud Abatement
Customized fraud prevention and reserve recovery solutions that match your program, culture, geographic coverage, and objectives. Our SIU experts have directed fraud cases resulting in hundreds of prosecutions for claimant, premium, and provider fraud with substantial restitution reclamation.
SIU Compliance
SIU fraud compliance partnerships for all insurance lines adapted to your program offering nationwide annual state submissions, audits, suspected fraud (eFD-1) filings, required reporting, training, anti-fraud plan and procedures per DOI regulations.
California SIU Experts
Our team of SIU professionals have 25+ years of experience specific to California SIU regulatory compliance. Our partners have successfully passed DOI SIU regulatory audits nationwide, including California, as we are familiar with the idiosyncrasies of our home state.
Industry Trainings, Collaboration and Outreach
National Speaker
As a recognized national presenter and keynote speaker at insurance industry conferences across the country, our CEO Dalene Bartholomew loves to share proven insights and ideas that are relevant, actionable, and entertaining. If you are interested in having her present at your conference, lead a training at your organization, or keynote at your next session, please reach out to us
Training & Education
We provide SIU anti-fraud training as well as numerous topics of CEU training delivered by our experts who are licensed Continuing Education Program Providers and enjoy providing meaningful courses virtually or in-person.
Our full suite of services includes compensability investigations, surveillance, research, canvassing, backgrounds, social media, litigation support, and all other traditional investigative services, plus our unique solutions such as VeriFive, to expertly support your program.